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Consistent anal sexual intercourse and diarrhea can also increase your risk of hemorrhoids. Youre also more likely to develop hemorrhoids if youre pregnant. Fourth-degree hemorrhoids hemorrhoids that prolapse and cannot be pushed back in the anal canal. Fourth-degree hemorrhoids also include hemorrhoids that are thrombosed (containing blood clots) or that pull much of the lining of the rectum through the anus. Hemorrhoids, also spelled haemorrhoids, are vascular structures in the anal canal. In their normal state, they are cushions that help with stool control. They become a disease when swollen or inflamed the unqualified term hemorrhoid is often used to refer to the disease. The signs and symptoms of hemorrhoids depend on the type present. Internal hemorrhoids often result in painless, bright red rectal bleeding when defecating. External hemorrhoids often result in pain and swelling in the area of the anus. Learn more about what causes them, other associated symptoms, tips for relief, and information on surgery. Unusual bowel movements, including hard stools and diarrhea, can cause the tender lining of the anus to tear.